EP0031561A2 - Suppositoire pour administration par voie rectale comprenant un médicament et un adjuvant - Google Patents

Suppositoire pour administration par voie rectale comprenant un médicament et un adjuvant Download PDF

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Publication number
EP0031561A2
EP0031561A2 EP80108056A EP80108056A EP0031561A2 EP 0031561 A2 EP0031561 A2 EP 0031561A2 EP 80108056 A EP80108056 A EP 80108056A EP 80108056 A EP80108056 A EP 80108056A EP 0031561 A2 EP0031561 A2 EP 0031561A2
Authority
EP
European Patent Office
Prior art keywords
radical
acid
carbon atoms
drug
adjuvant
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP80108056A
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German (de)
English (en)
Other versions
EP0031561B1 (fr
EP0031561A3 (en
Inventor
Toshiaki Nishihata
Howard J. Rytting
Takeru Higuchi
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Catalent Pharma Solutions Inc
Original Assignee
Merck and Co Inc
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Publication date
Application filed by Merck and Co Inc filed Critical Merck and Co Inc
Priority to AT80108056T priority Critical patent/ATE12581T1/de
Publication of EP0031561A2 publication Critical patent/EP0031561A2/fr
Publication of EP0031561A3 publication Critical patent/EP0031561A3/en
Application granted granted Critical
Publication of EP0031561B1 publication Critical patent/EP0031561B1/fr
Expired legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/02—Suppositories; Bougies; Bases therefor; Ovules

Definitions

  • This invention relates to a method for administering drugs to warm blooded animals by rectal delivery and it particularly relates to a method for enhancing the rate of absorption of such rectally delivered drugs from the rectal compartment to the blood stream; this invention also relates to improved rectal suppository drug forms used in the practice of such method.
  • a drug in a "suppository” which generally speaking, is a medicated solid dosage form generally intended for use in the rectum, vagina, and to a lesser extent, in the urethra. Molded rectal suppositories usually employ vehicles that melt or soften at body temperatures so that the drug may be released for use. On the other hand, soft elastic gelatin capsule suppositories rely on the presence of moisture in the rectum which causes the capsule to open and release its liquid contents which contains its therapeutic agent. Drugs administered in suppository form are administered for either local or systemic effect. The action of the drug is dependent on the nature of the drug, its concentration, and its rate of absorption.
  • rectal suppositories are commonly used for the treatment of constipation and hemorrhoids, that is, for local effect, such rectal suppositories are also administered rectally for systemic action.
  • drugs may be rectally administered, as by the use of suppositories, including, for example, analgesics, antispasmodics, sedatives, tranquilizers, and antibacterial agents.
  • Rectal drug administration has many advantages over other routes of drug administration, such as oral administration and parenteral administration.
  • many drug substances that are given orally undergo inactivation in the stomach because of the acidic, enzymatic content of the stomach or the drug may be subject to digestive attack in the gut and/or to microbial degradation in the lower gut.
  • Oral administration of drugs also directs all of the absorbed substances through the liver where they can be inactivated or reduced in effectiveness.
  • Rectal administration overcomes wholly, or in part, these known disadvantages of oral drug administration. Rectal drug administration also has advantages over parenteral administration. For example, rectal drug administration does not require highly trained personnel required for parenteral administration and also represents significantly less hazard to te patient.
  • the foregoing objects are accomplished by providing a method and suppository drug form wherein the absorption rate of rectally administered drugs into the bloodstream of warm blooded animals is enhanced, the method comprising the steps of preparing a drug form capable of being rectally administered, the drug form comprising an effective unit dosage amount of a drug of a type which is capable of being absorbed from the rectal compartmnt into the blood stream and hydroxy aryl or hydroxy aralkyl acids or salts, amides or esters thereof, the hydroxy aryl or hyroxy aralkyl acids or salts, amides or esters thereof being present in said drug form in an amount sufficient to be effective in enhancing the absorption rate of a drug into the blood stream from the rectal compartment, and thereafter rectally administering the drug form to a warm blooded animal.
  • the present invention generally, comprises the steps of preparing a drug form capable of being rectally administered, wherein the drug form comprises an effective unit dosage amount of a drug capable of being absorbed into the blood stream of a warm blooded animal from the rectal compartment and hyroxy aryl or hydroxy aralkyl acids or salts, amides or esters threof, the hydroxy aryl or hydroxy aralkyl acids or salts, amides or esters thereof being present in the drug form in a sufficient amount to be effective in enhancing the absorption rate, and rectally administering the drug form to the warm blooded animal.
  • Our method for enhancing the rate of absorption of drugs from the rectal compartment is useful for a wide range of drugs or drug categories including, but not limited to xanthines, anticancer agents, antibiotics (such as erythromycin, chloramphenicol, penicillin, and cephalosporin), and antiarrythmics (such as guinidine or lidocaine), all of which drugs are capable of being absorbed into the blood stream of a patient from the rectal compartment.
  • Other specific drugs useful in the method and in combination with the hereinafter described adjuvants will be hereinafter identified.
  • the amount of the drug used in our method for enhancing drug absorption varies over a wide range, generally any therapeutically effective unit dosage amount of the selected drug is used.
  • R 2 is a radical selected from OH, H a lower alkoxy radical having 1-10 carbon atoms, a lower alkyl radical having 1-10 carbon atoms, a lower alkenyl radical having 2-5 carbon atoms, a lower alkanoyl radical having 1-5 carbon atoms, a carboxy
  • R 1 is C0 2 H, -(CH 2 )-COOH, or S0 3 H, or a pharmaceutically acceptable salt thereof wherein R 2 is OH, H, a lower alkoxy radical, including methoxy, ethoxy, butoxy, or octyloxy, a lower alkyl radical includng methyl, isopropyl, ethyl, t-butyl, n-butyl, or t-octyl, a halo radical, or a tri-halo lower alkyl radical including trifluoromethyl, and wherein y is an integer of 1 or 2.
  • the amount of adjuvant used may vary over a wide range; in general, the identity and the amount of the adjuvant used in connection with the drug are selected in order to be effective in enhancing the absorption rate of the drug from the rectal compartment into the bloodstream.
  • the particular method used for the rectal administration of the drug and the adjuvant is preferably by use of the appropriate size, shape or form of any of the various types of rectal suppositories known to the pharmaceutical art; alternatively, the drug may be administered with the adjuvant by means of microenema.
  • Useful rectal suppositories with which the present method may be used include cocoa butter suppositories, synthetic fat suppositories, and gelatin capsules including soft elastic gelatin capsule type suppositories as well as other controlled release devices such as an osmotic pump or other polymeric devices.
  • the gelatin shell may contain preservatives such as mixed parabens, ordinarily methyl or propyl parabens in about a 4:1 ratio.
  • the parabens may be incorporated in the shell formulation in minor proportions as compared to the total weight of the shell formulation.
  • Conventional gelatin capsules utilize gelatin having a bloom value of about 160-200 although this amount may be varied.
  • FIGURES 2 and 3 A similar accelerating effect on the absorption of the antiarrythmic drug lidocaine by sodium salicylate is evident from FIGURES 2 and 3 where the amount of the drug absorbed is shown against time and pH.
  • the effect of the hydroxyaromatic carboxylate is particularly evident below a pH of 7.0.
  • the rate of absorption.of the drug by itself approaches zero, whereas in the presence of the salicylate or its acidic form, the absorption rate is substantial and appears to increase at the lower pH values.
  • the adjuvant effect on the rectal absorption of these drugs is not limited to salicylic acid alone but is general for the disclosed adjuvants. This adjuvant effect is evident for data obtained for several resorcylic acids and gentisic acid.
  • a suppository suitable for human use is prepared using the following ingredients:
  • the adjuvants may be chosen from the following salts or their acids.
  • the perfusate (6 ml.) is circulated at a rate of 2 ml./min. at 38°C.
  • As perfusate 1/15 M - phosphate buffer solutions are used and the ionic strength of the perfusate is adjusted to 0.75 with sodium chloride as necessary.
  • the hydroxyaromatic acid adjuvant is employed at a concentration of 0.5%, while the concentration of the various drugs is varied in accordance with the known effective dosages for said drugs.
  • the amount of drug remaining in the perfusate is analyzed as a function of time by appropriate methods, e.g. by high-pressure liquid chromatography. Blood levels are also measured by blood samples taken from a vein in the leg of the rat.
  • the hydroxyaromatic acid adjuvant is employed at a concentration of 0.5%, while the concentration of the various drugs is varied in accordance with the known effective dosages for said drugs.
  • the amount of drug present in the blood is analyzed as a function of time by extraction with ether at a pH of less than 2.0 after deproteinization with a 3% trichloroacetic acid solution. Following centrifugation, the ether layer is evaporated and the sediment is dissolved in methanol. This methanol sample containing the drug is assayed by high-pressure liquid chromatography. Blood levels are also measured in blood samples taken from a vein in the leg of the rat using a cannula.
  • the ability of various of the adjuvants of the present invention to enhance the rate of absorption of insulin which is rectally administered, from the rectal compartment into the blood stream, is demonstrated with a microenema technique.
  • Insulin is administered to a male Sprague-Dawley rat weighing 275-300 g. using a microenema.
  • the microenema is prepared with 0.2 M phosphate buffer, pH 5.0.
  • a volume of 0.3 ml. is delivered rectally.
  • Blood samples are taken from a jugular vein of the rat at designated time intervals.
  • the 0.3 ml. microenema consists of 5 mg. of adjuvant and 1.8 I.U. of insulin. Plasma levels of glucose are measured using the ortho-toluidine method.
  • Plasma samples (0.3 ml) are taken from the external jugular vein of the rat and centrifuged at 2000 rpm for ten minutes to collect plasma. With the exception of phenol red, determination of drug concentration in plasma and lymph is carried out using a high-pressure liquid chromatography technique at 254 nm. Plasma and lymph samples are deproteinized with acetonitrile. Phenol red is determined at 540 nm after adding 1.ON sodium hydroxide to the plasma or lymphatic samples. Insulin is assayed with an immunospecific enzyme assay kit supplied by Toyo Jozo Ltd., Japan.
  • the drug with adjuvant is administered rectally as a 0.3 ml microenema using a 0.01M phosphate buffer at a pH of 7.4 when the depeptide is used as an adjuvant and at a pH of 4.5 when the metabolites of epinephrine are used.
  • the rat anus is ligated with thread to avoid leakage of the solution.
  • Blood samples are taken from the jugular vein at regular intervals and centrifuged at 3000 rpm for 10 minutes to provide a plasma sample.
  • the amount of drug absorbed is analyzed as a function of time by appropriate methods, e.g. by high-pressure liquid chromatography. The results of this method show that plasma levels for the various drugs increased significantly after rectal administration in the presence of an adjuvant and relatively high levels were maintained for over 1.5 hours.
  • hydroxyaromatic acid adjuvants of the present invention to enhance the rate of absorption of insulin which is rectally administered from the rectal compartment into the blood stream, is demonstrated using a microenema technique.
  • a male beagle dog weighing 9.5 t 11 kg. is used. Rectal administration of insulin is in the form of a 0.5 ml. or a 0.25 ml. microenema.
  • Insulin microenema formulation are made up in either 0.9% sodium chloride or in 0.9% sodium chloride with 4% gelatin. Blood samples are taken at intervals for the external jugular vein and treated with EDTA. Blood samples are centrifuged at 4000 x G for 10 minutes.
  • Plasma glucose levels are determined at 650 nm using the O-toluidine method.
  • Plasma insulin levels are determined using an immunospecific enzyme assay (Toyo Jozo Company, Ltd., Japan). The results of this method show that the presence of the adjuvant caused a significant decrease in plasma glucose levels concommitant with a large increase in plasma insulin levels.
  • p-Methoxyphenol (12.4 g) was dissolved in chloroform (100 ml) and cooled in ice. Chlorosulfonic acid (11.6 g) was added dropwise to the stirred reaction mixture. The cooling bath was removed after the addition and stirring continued for 24 hours at room temperature. The chloroform was then evaporated off and the residue was vacuum dried to a hygroscopic light brown solid weighing 20.5 g which was 2-hydroxy-5-methoxy-benzenesulfonic acid.

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  • Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Epidemiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Veterinary Medicine (AREA)
  • Medicinal Preparation (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
EP80108056A 1979-12-20 1980-12-19 Suppositoire pour administration par voie rectale comprenant un médicament et un adjuvant Expired EP0031561B1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AT80108056T ATE12581T1 (de) 1979-12-20 1980-12-19 Rektal verabreichbares zaepfchen, das einen wirkstoff und einen hilfsstoff enthaelt.

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US10564579A 1979-12-20 1979-12-20
US105645 1979-12-20

Publications (3)

Publication Number Publication Date
EP0031561A2 true EP0031561A2 (fr) 1981-07-08
EP0031561A3 EP0031561A3 (en) 1982-08-11
EP0031561B1 EP0031561B1 (fr) 1985-04-10

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ID=22307007

Family Applications (1)

Application Number Title Priority Date Filing Date
EP80108056A Expired EP0031561B1 (fr) 1979-12-20 1980-12-19 Suppositoire pour administration par voie rectale comprenant un médicament et un adjuvant

Country Status (12)

Country Link
EP (1) EP0031561B1 (fr)
JP (1) JPS5753413A (fr)
AT (1) ATE12581T1 (fr)
AU (1) AU541247B2 (fr)
CA (1) CA1165688A (fr)
DE (1) DE3070488D1 (fr)
DK (1) DK156121C (fr)
GR (1) GR72756B (fr)
IE (1) IE50636B1 (fr)
NZ (1) NZ195846A (fr)
PT (1) PT72238B (fr)
ZA (1) ZA807969B (fr)

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2497669A1 (fr) * 1981-01-14 1982-07-16 Toyo Jozo Kk Preparation pharmaceutique ayant d'excellentes proprietes d'absorption
DE3200766A1 (de) * 1981-01-14 1982-09-16 Toyo Jozo Kk Praeparat mit ausgezeichneter absorptionseigenschaft
EP0037943A3 (en) * 1980-03-31 1982-12-08 Teijin Limited Pharmaceutical composition for intrarectal administration, and suppository prepared therefrom
EP0081321A1 (fr) * 1981-11-25 1983-06-15 Ono Pharmaceutical Co., Ltd. Dérivés de 2-aminophénol
EP0083032A3 (en) * 1981-12-30 1984-09-05 Merck & Co. Inc. Adjuvants for rectal delivery of drug substances
EP0228253A1 (fr) * 1985-12-30 1987-07-08 Merck & Co. Inc. Forme de la L-dopa absorbable par voie rectale
EP0163270A3 (fr) * 1984-05-23 1989-05-17 Green Cross Corporation Inhibiteur de la lipoxygénase
US4900730A (en) * 1981-01-14 1990-02-13 Toyo Jozo Co., Ltd. Preparation which promotes the absorption of peptides
WO2001070176A3 (fr) * 2000-03-18 2002-03-07 Haarmann & Reimer Gmbh Utilisation d'acide 3,4-dihydroxymandelique pour la protection contre des dommages oxydatifs dus a la lumiere ultraviolette
RU2191001C2 (ru) * 2000-08-10 2002-10-20 Панкрушева Татьяна Александровна Суппозитории для лечения сердечно-сосудистых заболеваний
WO2006089537A1 (fr) 2005-02-25 2006-08-31 Heinrich Exner Procede de fabrication d'une preparation d'une emulsion d'huile de silicone solide contenant du dmso destinee a lier des composes oxygene reactifs dans le corps d'un homme ou d'un animal

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS56122310A (en) * 1980-03-03 1981-09-25 Teijin Ltd Suppository

Family Cites Families (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE712511C (de) * 1940-06-28 1941-10-21 Chem Fab Von Heyden Akt Ges Verfahren zur Erhoehung der Loeslichkeit von Coffein in Wasser
NL57104C (fr) * 1941-04-03
DE917564C (de) * 1951-09-26 1954-09-06 Kali Chemie Ag Verfahren zur Herstellung von bestaendigen waessrigen Loesungen des Khellins
GB905092A (en) * 1959-07-10 1962-09-05 American Cyanamid Co Improved tetracycline antibiotic compositions
DE1132925B (de) * 1960-02-19 1962-07-12 Bayer Ag Loesungsvermittler fuer wasserschwerloesliche organische Verbindungen
US3159537A (en) * 1960-12-20 1964-12-01 American Cyanamid Co Potentiation of tetracycline by phosphinic acid
GB1311286A (en) * 1969-12-05 1973-03-28 Wild H Compositions for the relief of migraine
FR2293211A1 (fr) * 1974-12-06 1976-07-02 Synthelabo Nouveaux medicaments a base de derives de l'acide desoxyvincaminique
HU170329B (fr) * 1974-12-12 1977-05-28
FR2295754A2 (fr) * 1974-12-24 1976-07-23 Synthelabo Nouveaux medicaments a base de derives de l'acide apovincaminique
GB2000025A (en) * 1977-05-14 1979-01-04 Pfizer Ltd Nitroimidazole formulations
JPS56128714A (en) * 1980-03-07 1981-10-08 Intaretsukusu Research Corp Oral absorption-improved beta-lactam antibiotic oral dosage
NZ196348A (en) * 1980-03-07 1984-08-24 Interx Research Corp Enhancement of absorption rate of orally administered antibiotics
NZ196349A (en) * 1980-03-07 1984-08-24 Interx Research Corp Enhancement of absorption rate of orally administered polar bioactive agents

Cited By (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0037943A3 (en) * 1980-03-31 1982-12-08 Teijin Limited Pharmaceutical composition for intrarectal administration, and suppository prepared therefrom
FR2497669A1 (fr) * 1981-01-14 1982-07-16 Toyo Jozo Kk Preparation pharmaceutique ayant d'excellentes proprietes d'absorption
DE3200766A1 (de) * 1981-01-14 1982-09-16 Toyo Jozo Kk Praeparat mit ausgezeichneter absorptionseigenschaft
US4900730A (en) * 1981-01-14 1990-02-13 Toyo Jozo Co., Ltd. Preparation which promotes the absorption of peptides
EP0081321A1 (fr) * 1981-11-25 1983-06-15 Ono Pharmaceutical Co., Ltd. Dérivés de 2-aminophénol
EP0083032A3 (en) * 1981-12-30 1984-09-05 Merck & Co. Inc. Adjuvants for rectal delivery of drug substances
EP0163270A3 (fr) * 1984-05-23 1989-05-17 Green Cross Corporation Inhibiteur de la lipoxygénase
EP0228253A1 (fr) * 1985-12-30 1987-07-08 Merck & Co. Inc. Forme de la L-dopa absorbable par voie rectale
WO2001070176A3 (fr) * 2000-03-18 2002-03-07 Haarmann & Reimer Gmbh Utilisation d'acide 3,4-dihydroxymandelique pour la protection contre des dommages oxydatifs dus a la lumiere ultraviolette
RU2191001C2 (ru) * 2000-08-10 2002-10-20 Панкрушева Татьяна Александровна Суппозитории для лечения сердечно-сосудистых заболеваний
WO2006089537A1 (fr) 2005-02-25 2006-08-31 Heinrich Exner Procede de fabrication d'une preparation d'une emulsion d'huile de silicone solide contenant du dmso destinee a lier des composes oxygene reactifs dans le corps d'un homme ou d'un animal

Also Published As

Publication number Publication date
EP0031561B1 (fr) 1985-04-10
DE3070488D1 (en) 1985-05-15
AU541247B2 (en) 1985-01-03
ZA807969B (en) 1982-07-28
CA1165688A (fr) 1984-04-17
DK156121B (da) 1989-06-26
DK156121C (da) 1989-12-11
AU6539880A (en) 1981-06-25
ATE12581T1 (de) 1985-04-15
JPS5753413A (en) 1982-03-30
NZ195846A (en) 1984-12-14
PT72238A (en) 1981-01-02
DK543380A (da) 1981-07-23
IE50636B1 (en) 1986-05-28
EP0031561A3 (en) 1982-08-11
GR72756B (fr) 1983-12-02
IE802683L (en) 1981-06-20
PT72238B (en) 1985-06-28

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